Most Relevant Information
Provider Data
| NPI Number: | 1003283318 |
| Provider Name: | TERESA CIPPARONE |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703052705 |
Most Important Dates
| Enumeration Date: | 08/24/2015 |
| Last Updated: | 08/24/2015 |
Provider Practice Location
1515 GREENWOOD AVE
JACKSON
MI
492034047
Practice Location Phone/Fax
| Phone: | 5177875710 |
| Fax: | 5177879855 |
Provider Mailing Location
1515 GREENWOOD AVE
JACKSON
MI
49201
Provider Mailing Phone/Fax
| Phone: | 5177875710 |
| Fax: | 5177879855 |